- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeal and Grievance Compliance Advisor Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... requests prior to proceeding with the recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible for the… more
- CVS Health (Fresno, CA)
- …care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just ... transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... to support the safety net required to achieve that purpose. Job Summary The Manager, Customer Solution Center Appeals and Grievances is responsible for the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Service Representative III Job Category: Customer Service Department: Customer Solution Call Center Location: Los ... the general direction of leadership and management in the Customer Solution Center , Call ...to): general inquiries on claims processing, payment status and appeal and eligibility status verification. Document the interaction with… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... support the safety net required to achieve that purpose. Job Summary The Supervisor, Customer Solution Center Appeals & Grievances is responsible for direct… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...to resolve all database issues. Prepare and analyze monthly appeal and grievance reports to meet internal and external… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and...A&G, and Pharmacy requests and makes accurate judgment on appeal , grievance, Provider Claim Disputes, medical records or other… more
- Transdev (San Francisco, CA)
- …making eligibility determinations, explaining the analyst's role in eligibility denial appeal hearings, fielding customer phone calls, and handling difficult ... least three (3) years of experience conducting assessments of client/ customer eligibility for ADA paratransit services. Key Duties: This...any administrative reviews of appeals to determine if the appeal can be resolved before going to a hearing.… more
- Sacramento County (Sacramento, CA)
- …to) the following positions: Wellness Crisis Call Center and Response Team. Click here (https://personnel.saccounty.net/Documents/WCCCRT-MRT-SBHPS-PositionFlyer.pdf) ... and instruction + Research and evaluate work problems, and recommend solutions + Develop and maintain cooperative, effective working relationships with others… more
- City and County of San Francisco (San Francisco, CA)
- …significant Main Library, an anchor institution in the city's Civic Center , 27 neighborhood branch libraries that serve all neighborhoods throughout the ... Library divisions to understand business needs and collaborate on technology solutions ; research artificial intelligence (AI) tools and recommend how the Library… more
- Bank of America (Los Angeles, CA)
- …fostering relationships with the Small Business Consultant and associates in the Banking Center , Enterprise Small Business Bankers, Customer Contact Center , ... We're looking for people with passion and drive to provide comprehensive financial solutions to our small business clients. You'll be empowered to deliver the full… more
- Amazon (Sunnyvale, CA)
- Description Interested in working on products that are disrupting the data center software industry and change on-demand cloud computing? Does solving hard technical ... challenges at scale appeal to you? Do you like working on products...grow our team responsible for developing cutting edge cloud solutions . You'll be working on cutting edge technology that… more